2
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Predictive Value of Two-Dimensional Speckle-Tracking Echocardiography in Patients Undergoing Surgical Ventricular Restoration

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objectives

          Parameters of left ventricular (LV) mechanics, obtained from speckle-tracking echocardiography (STE), were found to be of prognostic value in patients with heart failure and those who underwent cardiac surgery. This study aimed to assess the value of STE in patients scheduled to undergo surgical ventricular restoration (SVR).

          Methods

          A total of 158 consecutive patients with baseline STE who underwent SVR due to an LV anteroapical aneurysm were included in the analysis. Preoperative longitudinal STE parameters were evaluated for their association with an outcome, defined as all-cause mortality, LV assist device implantation, or heart transplantation. The echocardiographic follow-up to assess the change in the regional function of the segments remote from the aneurysm was performed in 43 patients at a median of 10 months [interquartile range (IQR): 6–12.7 months] after SVR.

          Results

          During a median follow-up of 5.1 years (IQR: 1.6–8.7 years), events occurred in 68 patients (48%). Less impaired mean basal end-systolic longitudinal strain (BLS) with a cutoff value ≤ −10.1 % demonstrated a strong association with event-free survival, also in patients with an LV shape corresponding to an intermediate shape between aneurysmal and globally akinetic. Initially hypo- or akinetic basal segments with preoperative end-systolic strain ≤ −7.8% showed a greater improvement in wall motion at the short-term follow up.

          Conclusion

          Patients with less impaired preoperative BLS exhibited a better event-free survival after SVR, also those with severe LV remodeling. The preserved preoperative segmental longitudinal strain was associated with a greater improvement in regional wall motion after SVR. BLS assessment may play a predictive role in patients with an LV anteroapical aneurysm who are scheduled to undergo SVR.

          Related collections

          Most cited references37

          • Record: found
          • Abstract: found
          • Article: not found

          Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

          The rapid technological developments of the past decade and the changes in echocardiographic practice brought about by these developments have resulted in the need for updated recommendations to the previously published guidelines for cardiac chamber quantification, which was the goal of the joint writing group assembled by the American Society of Echocardiography and the European Association of Cardiovascular Imaging. This document provides updated normal values for all four cardiac chambers, including three-dimensional echocardiography and myocardial deformation, when possible, on the basis of considerably larger numbers of normal subjects, compiled from multiple databases. In addition, this document attempts to eliminate several minor discrepancies that existed between previously published guidelines.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              2016 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure.

                Bookmark

                Author and article information

                Contributors
                Journal
                Front Cardiovasc Med
                Front Cardiovasc Med
                Front. Cardiovasc. Med.
                Frontiers in Cardiovascular Medicine
                Frontiers Media S.A.
                2297-055X
                21 March 2022
                2022
                : 9
                : 824467
                Affiliations
                [1] 1Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin , Berlin, Germany
                [2] 2Cardio Centrum Berlin , Berlin, Germany
                [3] 3DZHK (German Centre for Cardiovascular Research), partner site Berlin , Berlin, Germany
                [4] 4Department of Cardiothoracic Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health , Berlin, Germany
                [5] 5ETH Zurich, Department of Health Sciences and Technology, Translational Cardiovascular Technology , Zurich, Switzerland
                [6] 6Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health , Berlin, Germany
                Author notes

                Edited by: Giulia Elena Mandoli, University of Siena, Italy

                Reviewed by: Chunyan Ma, The First Affiliated Hospital of China Medical University, China; Nicola Riccardo Pugliese, University of Pisa, Italy

                *Correspondence: Christoph Knosalla knosalla@ 123456dhzb.de

                This article was submitted to Cardiovascular Imaging, a section of the journal Frontiers in Cardiovascular Medicine

                †These authors have contributed equally to this work and share first authorship

                Article
                10.3389/fcvm.2022.824467
                8978793
                e2ccf06b-1260-411e-92d8-874ead4c7169
                Copyright © 2022 Nemchyna, Solowjowa, Dandel, Hrytsyna, Stein, Knierim, Schoenrath, Hennig, Falk and Knosalla.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 29 November 2021
                : 31 January 2022
                Page count
                Figures: 4, Tables: 3, Equations: 0, References: 37, Pages: 12, Words: 8978
                Funding
                Funded by: Deutsches Zentrum für Herz-Kreislaufforschung, doi 10.13039/100010447;
                Funded by: Bundesministerium für Bildung und Forschung, doi 10.13039/501100002347;
                Categories
                Cardiovascular Medicine
                Original Research

                surgical ventricular repair,surgical ventricular restoration,heart failure,left ventricular aneurysm,speckle-tracking echocardiography (ste),outcome study

                Comments

                Comment on this article